Balanitis
Other namesBalanoposthitis
File:Inflammation of the glans penis and the preputial mucosa.jpg
Inflammation of the glans penis and the preputial mucosa of a circumcised penis (balanitis)
SpecialtyUrology
SymptomsRedness, pain, discharge, itchiness, white patches[1]
ComplicationsPhimosis[1]
CausesInfectious: Yeast, bacteria, viruses, trichomonas[1]
Inflammation: Eczema, allergic reactions, lichen planus, psoriasis[1]
Pre-cancerous: Bowen's disease, erythroplasia of Queyrat[1]
Risk factorsUncircumcised, poor hygiene, diabetes, over cleaning[1][2]
Diagnostic methodMicrobial culture, tissue biopsy[1]
TreatmentForeskin retraction, washing the area[1]
MedicationAntifungal cream, antibiotics, steroid creams[1]
PrognosisUsually good[3]
Frequency3 to 11% (males at some point)[4]

Balanitis is inflammation of the head of the penis (glans).[1] It typically occurs together with inflammation of the foreskin (posthitis), which is called balanoposthitis.[1] Symptoms may include redness, pain, discharge, itchiness, or white patches.[1] Complication may include phimosis.[1]

Groups of causes include infectious (yeast, bacteria, viruses, trichomonas), inflammatory conditions (eczema, allergic reactions, lichen planus, psoriasis), and pre-cancerous conditions (Bowen's disease, erythroplasia of Queyrat).[1] Risk factors include being uncircumcised, poor hygiene, diabetes, or over cleaning.[1][2] Diagnosis may be based on microbial culture or other testing and occasionally tissue biopsy.[1]

General management involves keeping the foreskin retracted and washing the area.[1] Dilute vinegar (acetic acid 1%) may help.[2] Based on the specific cause antifungal cream (such as clotrimazole), antibiotics, steroid creams, or surgery.[1] Outcomes are usually good.[3] Between 3 and 11% of males are affected at some point in time.[4]

References edit

  1. ^ a b c d e f g h i j k l m n o p q r Edwards, SK; Bunker, CB; Ziller, F; van der Meijden, WI (August 2014). "2013 European guideline for the management of balanoposthitis". International Journal of STD & AIDS. 25 (9): 615–26. doi:10.1177/0956462414533099. PMID 24828553. S2CID 127341.
  2. ^ a b c "Balanitis | DermNet NZ". dermnetnz.org. Archived from the original on 26 March 2022. Retrieved 27 March 2022.
  3. ^ a b "Balanitis". Archived from the original on 24 March 2022. Retrieved 27 March 2022.
  4. ^ a b Wray, AA; Velasquez, J; Khetarpal, S (January 2022). "Balanitis". PMID 30725828. {{cite journal}}: Cite journal requires |journal= (help)